Tanzania joins America First Global Health Strategy, gaining USD 1.3 billion in the process

Tanzania has become the 34th country in the world to join the America First Global Health Strategy.

The United States and Tanzania have signed a five-year bilateral global health Memorandum of Understanding (MOU).

The agreement between the two nations was ​stamped through President Donald Trump Administration’s America First Global Health Strategy.

The initiative is reportedly targeting to save lives, advance shared global health goals, and bolster Tanzanian self-sufficiency to address infectious diseases and emerging health threats.

The Memorandum of Understanding is building on decades of gains made through the United States global health assistance to Tanzania.

Washington and Dar-es-salaam will therefore act as co-investors under the Memorandum of Understanding.

They will jointly be building a durable network of hospitals, laboratories, and health care workers able to care for Tanzanians now and independently address public health threats of the future. 

The United States will direct assistance to support Tanzania’s health priorities and help the East African country tap into American expertise in pharmaceuticals, health innovation, and technology. 

Joint activities under this MOU aim to facilitate a sustainable transition from the previous donor-recipient model to a new partnership that will help Tanzania finance, manage, and sustain its health system over the long run.

It will also strengthen Tanzania’s ability to detect and respond to infectious disease outbreaks.

The five-year agreement also intends to sustain national control of HIV, malaria, polio, and tuberculosis, and meet the needs of Tanzania’s growing population through supporting maternal and child health.

The United States, working with Congress, intends to provide more than US$1.3 billion over five years under this MOU, and the United Republic of Tanzania is working to increase its domestic expenditures by US$1.8 billion in national funds over the same time period.

This US$3.1 billion memorandum of understanding reflects the vision of the America First Global Health Strategy, which recognizes that the strongest and most sustainable partnerships are those that help countries build the capacity to lead, finance, and sustain their own health systems.

It reflects a shift from traditional donor-recipient relationships toward true partnership; from aid to trade; from dependence to self-reliance; and from short-term support to long-term sustainability.

America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent more than USD24 billion in new health funding, including more than US$14.3 billion in U.S. assistance alongside more than US$9.6 billion in co-investment from recipient countries.

The whole arrangement is pegged on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world.

As of July 1, 2026, the State Department has signed 34 bilateral global health MOUs with Angola, Bolivia, Botswana, Burkina Faso, Burundi, Cambodia, Cameroon, Côte d’Ivoire, the Democratic Republic of Congo and the Dominican Republic.

Others are El Salvador, Eswatini, Ethiopia, Guatemala, Guinea, Honduras, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, Papua New Guinea, the Philippines, Rwanda, Senegal, Sierra Leone, South Sudan, Tajikistan, Tanzania, and Uganda.